| NPI | 1114120367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME100338) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT IN process) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2021-10-22 |