| NPI | 1992967020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NJ 25MA09131900) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: NY 249859) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2023-01-20 |