| NPI | 1174796213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA08379300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08379300) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA08379300) | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2023-11-08 |