| NPI | 1992771349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA06470800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA064708000) |
| 207R00000X Internal Medicine (Licence: NY 1932-29) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 1932-29) | |
| Enumeration Date | 2006-02-26 |
| Last Update Date | 2013-08-21 |