| NPI | 1083977458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB11832500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 278452) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2023-11-10 |