| NPI | 1588849921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA12666200) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX R4520) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2025-07-07 |