| NPI | 1457857385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA11852400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 314915) |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2024-07-30 |