| NPI | 1356668784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA09333000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 120096) |
| Enumeration Date | 2010-04-25 |
| Last Update Date | 2024-07-03 |