| NPI | 1255512125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME107519) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL MD.36216) |
| 207L00000X Anesthesiology (Licence: GA 94153) | |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2023-12-02 |