| NPI | 1720422546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10696700) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD460178) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 292215) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2022-08-03 |