| NPI | 1407897820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD424438) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25ma08079200) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA080779200) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2022-06-02 |