| NPI | 1437308616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080T0002X Pediatrics, Medical Toxicology (Licence: NJ 52397) |
| Additional Taxonomies | 2083T0002X Preventive Medicine, Medical Toxicology (Licence: NJ 25MA05239700) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 152780) | |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2025-10-16 |