| NPI | 1295781797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ MA50510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA50510) |
| 207P00000X Emergency Medicine (Licence: PA MD051409L) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2012-03-22 |