| NPI | 1457673246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08954500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 259972) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2019-07-24 |