| NPI | 1447570288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 282126) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD14523) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2023-10-30 |