| NPI | 1831551530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA10762800) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 72388) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2026-01-23 |