| NPI | 1972516466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0052298) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA05480200) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2018-08-31 |