| NPI | 1245320944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA04228300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ MA42283) |
| 207R00000X Internal Medicine (Licence: NJ MA42283) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-07-17 |