| NPI | 1134568769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 290291) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10185000) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10185000) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA10185000) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2024-06-17 |