| NPI | 1831308626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA09170700) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 228442) |
| 207R00000X Internal Medicine (Licence: NJ 25MA09170700) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 228442) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-04-30 |