| NPI | 1295046233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 252863) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI MD15735) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: RI MD15735) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2018-11-05 |