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 | 2024-10-14 |