| NPI | 1043263247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 212555) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA07248300) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-01-11 |