| NPI | 1578774394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA0869950) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD439172) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-02-21 |