| NPI | 1043235328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB07531800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 328501) |
| 207P00000X Emergency Medicine (Licence: OH 34.016073) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-05-01 |