| NPI | 1861410540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NJ 25MA08458000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08458000) |
| 207RN0300X Internal Medicine Nephrology (Licence: NY 194115) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-05-13 |