| NPI | 1386982718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 268714-01) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB09661600) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2024-05-09 |