| NPI | 1447461389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB09401600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS015080) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-12-02 |