| NPI | 1073691929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 278698) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME 018526) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-18 |