| NPI | 1316267305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 257990) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP01974) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2014-04-21 |