| NPI | 1942525431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD14916) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 261039) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2026-06-22 |