| NPI | 1619123759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA09975300) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 249258) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2021-02-24 |