| NPI | 1649339003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD12929) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 230670) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2010-02-04 |