| NPI | 1134448509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD20502) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA08755200) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2025-03-31 |