| NPI | 1265929384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA11729400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 308986) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2024-09-26 |