| NPI | 1386609907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 152670) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 152670) |
| 207L00000X Anesthesiology (Licence: RI MD09332) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: RI MD09332) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2013-09-17 |