| NPI | 1528545373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD18467) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 275741) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2023-02-23 |