| NPI | 1457442378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA07923600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07923600) |
| 174400000X Specialist (Licence: NJ 25MA07923600) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2024-04-10 |