| NPI | 1376785428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD14231) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 254415) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2026-05-18 |