| NPI | 1447410493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08593200) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 249040) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2013-09-11 |