| NPI | 1659320935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA09086700) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: NJ 25MA09086700) |
| 207P00000X Emergency Medicine (Licence: PA MD424431) | |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2020-12-14 |