| NPI | 1467866392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10182600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD460457) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2022-07-21 |