| NPI | 1134187248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD10594) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI 10594) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2013-10-21 |