| NPI | 1427459734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 296385) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10810400) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA10810400) | |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2023-06-01 |