| NPI | 1760448997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD11819) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI 11819) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2013-10-03 |