| NPI | 1871551721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB06533000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C20007934) |
| 207R00000X Internal Medicine (Licence: NJ 25MB06533000) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-21 |