| NPI | 1740464924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME121982) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA08939400) |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME121982) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA08939400) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL ME121982) | |
| Enumeration Date | 2007-12-23 |
| Last Update Date | 2020-04-18 |