| NPI | 1366736241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08933800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 278766) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2024-06-06 |