| NPI | 1831536150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 269698) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP02759) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2022-07-21 |