| NPI | 1043459886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME167229) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101245023) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2025-06-06 |