| NPI | 1881004489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI DO00902) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 64507) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2023-03-14 |