| NPI | 1194953240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB10496400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 186787-1) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2019-07-24 |