| NPI | 1528025483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD08040) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI 8040) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2013-10-02 |