| NPI | 1144477589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA OS014933) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA os014933) |
| 207P00000X Emergency Medicine (Licence: NJ 25MB08393300) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB08393300) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2022-05-19 |