| NPI | 1598709941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA09814400) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 265102) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2018-12-10 |