| NPI | 1457358475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI RI00519) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 000299) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2021-06-24 |