| NPI | 1902060221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ MA089336) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD434778) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2012-02-27 |