| NPI | 1336584135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10271700) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 286187) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2023-04-28 |