| NPI | 1497870133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101274087) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ 25MA08318900) |
| 207P00000X Emergency Medicine (Licence: NY 246102) | |
| 207P00000X Emergency Medicine (Licence: NJ 25MA08318900) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: NJ 25MA08318900) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA08318900) | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: NJ 25MA08318900) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 246102) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA08318900) | |
| 208VP0000X (Licence: NJ 25MA08318900) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2025-01-22 |