| NPI | 1285653816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD11568) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 043323) |
| 207P00000X Emergency Medicine (Licence: MA 231393) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-01-25 |