| NPI | 1649430950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25BM08579100) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 253586-1) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2019-11-04 |