| NPI | 1881960938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD458106) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD458106) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA10297800) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2022-02-21 |