| NPI | 1316128291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NJ 25MA08573100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 234332) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2024-11-11 |