| NPI | 1912560558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA11507500) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA11507500) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: NJ 25MA11507500) | |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2025-04-28 |