| NPI | 1396703906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA12080600) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 227574) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 212801) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2024-03-11 |