| NPI | 1447810742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD19052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04572) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-03-31 |