| NPI | 1134682073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA11813300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 315518) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2024-04-26 |