| NPI | 1447541768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB10537900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 273974) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2019-06-11 |