| NPI | 1568533958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10133800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 229442) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 229442) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2025-03-24 |