| NPI | 1942447073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB09125500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS024007) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2024-08-29 |