| NPI | 1184611550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME103033) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01058016A) |
| 207L00000X Anesthesiology (Licence: FL ME 103033) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2020-12-29 |