| NPI | 1528306586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA09974500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 278724) |
| 207P00000X Emergency Medicine (Licence: GA 73777) | |
| Enumeration Date | 2013-01-26 |
| Last Update Date | 2023-06-12 |