| NPI | 1225321375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI DO00800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 262330) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2018-02-14 |