| NPI | 1396030730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD15354) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 263175) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2026-06-22 |