| NPI | 1982882445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD15928) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 54439) |
| 207L00000X Anesthesiology (Licence: MN 105416) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2022-07-21 |