| NPI | 1265886253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10541400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 300578-01) |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2023-07-18 |