| NPI | 1689818197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB09278000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 329613) |
| 207P00000X Emergency Medicine (Licence: OK 8291) | |
| 207P00000X Emergency Medicine (Licence: NY 320534-01) | |
| 207P00000X Emergency Medicine (Licence: PA OS016523) | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2023-10-16 |