| NPI | 1407986631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI do-390) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 77171) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2019-01-08 |