| NPI | 1750841631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI DO01144) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 292012) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-06-12 |