| NPI | 1801847264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB09066300) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34008054) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-01-26 |