| NPI | 1427093558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 229432) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 057504) |
| 207P00000X Emergency Medicine (Licence: NJ 25MA10166800) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-11-04 |