NPI | 1518301191 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD15911) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 283566) |
Enumeration Date | 2013-04-25 |
Last Update Date | 2023-11-07 |