| NPI | 1497046650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA09679200) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 273379) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2015-07-20 |