| NPI | 1891085742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 263988) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10012600) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2024-08-16 |