| NPI | 1811075005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA03295600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA03295600) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2025-09-11 |