| NPI | 1851358311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD06661) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI 06661) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2013-10-04 |