| NPI | 1992357503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB12677700) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB12677700) |
| 207R00000X Internal Medicine (Licence: NJ 25MB12677700) | |
| Enumeration Date | 2019-07-13 |
| Last Update Date | 2025-07-24 |