| NPI | 1821067786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06319400) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: NJ 25MA06319400) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-12-23 |