| NPI | 1427104041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA08735400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 46471) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CO 46471) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2010-08-19 |