| NPI | 1598927527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD16978) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 254614) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2023-05-09 |