| NPI | 1780831164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA11292700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME119722) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101273875) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME119722) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AR E-15076) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2024-08-13 |