| NPI | 1528444023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 18204) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP03613) |
| 207P00000X Emergency Medicine (Licence: RI ETL00001) | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2021-02-15 |