| NPI | 1891840872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA08410200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 238660) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2023-10-04 |