| NPI | 1942370234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI DO00526) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CT 038692) |
| 207Q00000X Family Medicine (Licence: RI DO00526) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-06-14 |