| NPI | 1740268622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI 10635) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MA 153982) |
| 207P00000X Emergency Medicine (Licence: MA 153982) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2020-07-13 |