| NPI | 1720254006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD13052) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 49973) |
| 207P00000X Emergency Medicine (Licence: MA 228944) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2023-07-27 |