| NPI | 1275834830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ P13-00474) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013602) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2020-07-17 |