| NPI | 1417342635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA11800800) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 304592) |
| 207P00000X Emergency Medicine (Licence: NY 304592) | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2026-04-07 |