| NPI | 1083783740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 35194) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME EC-06-1057) |
| 207L00000X Anesthesiology (Licence: ME 018378) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2025-09-23 |