| NPI | 1326081134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NJ 25MB07057800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 217053-1) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2023-07-14 |