| NPI | 1841302601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD10947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD10947) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-02-16 |