| NPI | 1205888187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0057813) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA07890600) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2018-09-13 |