| NPI | 1427581271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA11988000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 323996) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 323996) | |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2026-05-20 |