| NPI | 1790920577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA09676200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449269) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2021-04-29 |