| NPI | 1649420274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD13888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 236696) |
| 207L00000X Anesthesiology (Licence: RI 13888) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2013-10-04 |