| NPI | 1699953307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA09933900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 14295) |
| 207P00000X Emergency Medicine (Licence: NH 14295) | |
| 207P00000X Emergency Medicine (Licence: NJ 25MA09933900) | |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2016-08-12 |