| NPI | 1700088051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042.0014172) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 246730) |
| 207P00000X Emergency Medicine (Licence: RI MD13996) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2024-02-09 |