| NPI | 1013297860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25BM09257300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 263041-01) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2022-04-22 |