| NPI | 1023281771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10047000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 246160) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2018-07-30 |