| NPI | 1437248432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB07847100) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 225733) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2017-03-15 |