| NPI | 1154814549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD18483) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301114873) |
| 207P00000X Emergency Medicine (Licence: MI 4301504562) | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2026-02-13 |