| NPI | 1043247281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A108804) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME 89162) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2024-06-06 |