| NPI | 1922065812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA09809200) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ME MD25258) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2025-04-03 |