| NPI | 1467611020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD13559) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI 13559) |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2023-02-23 |