| NPI | 1033649959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI DO01181) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C2-0013713) |
| 207P00000X Emergency Medicine (Licence: ME DO3416) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2023-08-10 |