| NPI | 1649433780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX R3675) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09497000) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2021-08-19 |