| NPI | 1184651655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA09809500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 233072) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2019-07-24 |