| NPI | 1457366114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ MA081636) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L9570) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-04-11 |