| NPI | 1215920160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD25704) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 46617) |
| 207L00000X Anesthesiology (Licence: FL ME53592) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2022-09-13 |