| NPI | 1457446817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 229629) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA08858500) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-10-25 |