| NPI | 1770804221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10469600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 272894) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 272894) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2020-11-03 |