| NPI | 1730379025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NJ 25MA08555000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 245332) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2024-09-25 |