| NPI | 1508823717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: RI MD10810) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI MD10810) |
| 207L00000X Anesthesiology (Licence: MA 208679) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 208679) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-10-11 |