NPI | 1407143282 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 262729) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD15466) |
207P00000X Emergency Medicine (Licence: MO 2011019422) | |
Enumeration Date | 2011-06-30 |
Last Update Date | 2025-09-04 |