| NPI | 1205251675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB10743000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 284240) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2022-04-15 |