| NPI | 1326036898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MAO4845000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MAO4845000) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2017-05-05 |