| NPI | 1124647797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD20559) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI CLP05749) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2025-05-07 |