| NPI | 1194877993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME174296) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A73105) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2025-05-21 |