| NPI | 1922007574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA07864900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07864900) |
| 207R00000X Internal Medicine (Licence: NY 228250) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 228250) | |
| Enumeration Date | 2005-07-17 |
| Last Update Date | 2021-07-22 |