| NPI | 1598924987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB08715300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 19064) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2023-03-03 |