| 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 |