| NPI | 1598714578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL os11198) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25mb07360200) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2012-02-03 |