| NPI | 1497918965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD13677) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 236622) |
| Enumeration Date | 2008-07-05 |
| Last Update Date | 2023-02-16 |