| NPI | 1861441636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA06065200) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD055730L) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2024-08-19 |