| NPI | 1063549723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME122483) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VT 042.0019258-COMP) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2026-03-02 |