| NPI | 1801882337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB08853100) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS9607) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2024-06-12 |