| NPI | 1013440783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME167241) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TRN24349) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME167241) | |
| 208600000X Surgery (Licence: FL ME137477) | |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2024-09-19 |