| NPI | 1346285079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA07619400) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA07619400) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2019-06-18 |