| NPI | 1649699547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA1009900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10099000) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2022-06-14 |