| NPI | 1952342255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD09565) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: RI MD09565) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-04-22 |