| NPI | 1467536854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08861400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 11946) |
| 207P00000X Emergency Medicine (Licence: TX N0425) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-01-10 |