| NPI | 1043308323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09219900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35082999A) |
| 207R00000X Internal Medicine (Licence: PA MD437258) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD437258) | |
| 207T00000X Neurological Surgery (Licence: PA MD437258) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-11-28 |