| NPI | 1437286002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA8535000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C70002942) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-07-09 |