| NPI | 1174887541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD16763) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 265828) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2023-03-16 |