| NPI | 1760419097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD428570) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA08454500) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2008-09-26 |