| NPI | 1154383289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME134699) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E0807) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2025-02-06 |