| NPI | 1396832044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: RI MD13447) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 206326) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2013-09-17 |