| NPI | 1629310727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA10429700) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD465575) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2024-11-11 |