| NPI | 1497725287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 262325) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 44052) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA09212500) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2022-06-28 |