| NPI | 1376943183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA09882800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 282298) |
| 207P00000X Emergency Medicine (Licence: CA A147550) | |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2024-04-09 |