| NPI | 1710391958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MB10550000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT015876) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2024-08-20 |