| NPI | 1548606783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 283727) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB10063600) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2022-07-21 |