| NPI | 1891052437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036145551) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10096600) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2024-12-18 |