NPI | 1740220730 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MB08054400) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 232270) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2025-04-08 |