| NPI | 1093955171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI DO00695) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101017739) |
| 207L00000X Anesthesiology (Licence: RI 00695) | |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2013-10-03 |