| NPI | 1801888995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ MB03115000) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA OS003416L) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2013-06-14 |