| NPI | 1316264468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10425200) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 263432) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2019-03-21 |