| NPI | 1093756579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 31726) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME84533) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-10-06 |