| NPI | 1942256979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 44929) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA06584100) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-05-26 |