| NPI | 1831147081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB08088600) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA 20A9892) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-05-19 |