| NPI | 1467076547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA12691300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01093075A) |
| 207P00000X Emergency Medicine (Licence: IL 125076290) | |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2025-06-13 |