| NPI | 1457374530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD025022E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07173100) |
| 207R00000X Internal Medicine (Licence: PA MD025022E) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA07173100) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-12-04 |