| NPI | 1467651935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB08983900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS014969) |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2017-12-13 |