| NPI | 1851812135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 304102) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25mb10907700) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2024-03-18 |