NPI | 1265473318 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA05482900) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C10003833) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2023-06-08 |