| NPI | 1922621267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-18000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP05006) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2024-06-21 |