| NPI | 1114007143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD 69779) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME98487) |
| 207L00000X Anesthesiology (Licence: VA 0101277158) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2024-01-25 |