| NPI | 1235392531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10967400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD442446) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2022-08-15 |