| NPI | 1528007978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA04674500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD027677E) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-10-19 |