| NPI | 1740440262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD13974) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP01348) |
| 207P00000X Emergency Medicine (Licence: DE C1-0013708) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2020-05-12 |