| NPI | 1013086552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD05925) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 37274) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2025-10-22 |