| NPI | 1881037018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI DC00855) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101020571) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2022-07-21 |