| NPI | 1356870331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB10659000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 303940) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-05-26 |