| NPI | 1992733760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ MA035990) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ME 009777) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |