| NPI | 1659175479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI CLP06897) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 3018745) |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2026-05-28 |