| NPI | 1275504052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA06586300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 197042) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2024-04-25 |