| NPI | 1730506007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA12024800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R3084) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2024-08-30 |