| NPI | 1124588306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA11485800) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA11485800) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2026-06-25 |