| NPI | 1366602054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD13800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP01314) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2020-02-20 |