| NPI | 1760173595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI LP05944) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI CLP05944) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-06-23 |