| NPI | 1821226002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042.0012573) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP01768) |
| 207P00000X Emergency Medicine (Licence: NH 18306) | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2025-09-11 |