| 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 |