| NPI | 1912392846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA12318600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A153698) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2024-10-09 |