| NPI | 1457536203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB08780600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS014683) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2024-10-17 |