| NPI | 1477088029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 300826) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA11029000) |
| 207P00000X Emergency Medicine (Licence: CT 69380) | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2023-06-09 |