| NPI | 1740323229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD11283) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: RI MD11283) |
| 207P00000X Emergency Medicine (Licence: MA 213779) | |
| 207P00000X Emergency Medicine (Licence: FL ME129677) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2021-03-08 |