| NPI | 1427287424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA11034900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 2839641) |
| 207R00000X Internal Medicine (Licence: NY 283964-1) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA11034900) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 2839641) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA11034900) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2021-05-05 |