| NPI | 1518109834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MB09186300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS014996) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA OT011283) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2024-03-04 |