| NPI | 1609456037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL OS21814) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB12169700) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2025-04-25 |