| NPI | 1851329395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC DO39073) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ MB58274) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2025-01-29 |