| NPI | 1003200148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB10225600) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MB10225600) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NJ 25MB10225600) | |
| 208000000X Pediatrics (Licence: NJ 25MB10225600) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2026-06-09 |