| NPI | 1669470308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA06324000) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 199878-1) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2015-08-20 |