| NPI | 1477874113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD14629) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 245004) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2014-06-05 |