| NPI | 1922405042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NJ 25MA11634400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 281174) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2023-07-25 |