| NPI | 1285732321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME 016806) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 17695) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-01-05 |