| NPI | 1811092075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD08118) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01054862) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2016-12-13 |