| NPI | 1912115296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ MA18416800) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MT179669) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-07-10 |