NPI | 1336427517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA12007200) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 263511) |
Enumeration Date | 2011-07-22 |
Last Update Date | 2025-05-14 |