| NPI | 1639164635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ ME171142) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: NJ ME171142) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2025-03-29 |