| NPI | 1144802042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A24814) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB11995200) |
| 207P00000X Emergency Medicine (Licence: MA 1018566) | |
| 207P00000X Emergency Medicine (Licence: CA 20A24814) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 1018566) | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2026-07-28 |