| NPI | 1689871816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB08667200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB08667200) |
| 207P00000X Emergency Medicine (Licence: NY 255873-1) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2012-01-27 |