| NPI | 1033799317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA13050600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 330723) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2026-06-11 |