| NPI | 1700864410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08089900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C10007715) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2024-12-16 |