| NPI | 1477105443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB12682000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 18544) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2025-07-23 |