| NPI | 1093906786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD18804) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 231291) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2015-10-06 |