| NPI | 1982661815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD06800) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI RI6800) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2013-10-02 |