| NPI | 1316931140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX M8227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07841900) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2009-01-30 |