| NPI | 1346218989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 045454) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD10659) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2008-08-19 |