| NPI | 1457374654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI DO00840) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS012971) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2017-09-06 |