| NPI | 1053549352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME172625) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0061062) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2025-06-13 |