| NPI | 1710131537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA09982100) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 270261) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2024-05-08 |