| NPI | 1396070249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA11165700) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT196263) |
| Enumeration Date | 2009-10-10 |
| Last Update Date | 2024-01-19 |