| NPI | 1851552426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA09288800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C1-0009699) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2019-09-24 |