| NPI | 1831481381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 26NJ0027800) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ0027800) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26NJ0027800) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ0027800) | |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2025-04-25 |