| NPI | 1285898890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD12935) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: CA A98804) |
| Enumeration Date | 2008-07-12 |
| Last Update Date | 2010-02-05 |