| NPI | 1568611630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA09830600) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101252112) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2023-05-24 |