| NPI | 1457593709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 263203) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA09441400) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2018-08-02 |