| NPI | 1932415320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01080187A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10833200) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: RI LP03635) | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2026-02-24 |