| NPI | 1629208293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI DO00754) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI DO00754) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2023-11-17 |