| NPI | 1033326640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB08141400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 5MB08141400) |
| 207P00000X Emergency Medicine (Licence: NY 243877) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2023-04-10 |