| NPI | 1740643535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA11845800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 281198) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2024-03-06 |