| NPI | 1508823477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 18782) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI RI8414) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-06-22 |