| NPI | 1700823820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD15558) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 74547) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2024-09-26 |