| NPI | 1346262029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA06576800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 175359) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-01-17 |