| NPI | 1780062257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA12298000) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD470880) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2024-09-04 |