| NPI | 1881899094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD13615) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207L00000X Anesthesiology (Licence: IN 01068257A) | |
| 207L00000X Anesthesiology (Licence: RI 13615) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2013-10-02 |