| NPI | 1073504163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD07124) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI 7124) |
| Enumeration Date | 2005-10-29 |
| Last Update Date | 2013-10-02 |