| NPI | 1396323226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ S05330006207932) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS025576) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2026-01-28 |