NPI | 1023336112 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09905100) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 271039) |
207P00000X Emergency Medicine (Licence: NJ MA09905100) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 271039) | |
Enumeration Date | 2010-05-13 |
Last Update Date | 2019-04-08 |