| NPI | 1306889118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA07687900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 236750-1) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-04-25 |