NPI | 1144802042 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 1018566) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB11995200) |
Enumeration Date | 2021-04-21 |
Last Update Date | 2024-06-14 |