NPI | 1740288570 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA06734600) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA67346) |
208000000X Pediatrics (Licence: NJ MA67346) | |
Enumeration Date | 2005-07-14 |
Last Update Date | 2008-05-18 |