| NPI | 1811492697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD20213) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 291654) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-09-09 |