| NPI | 1285735464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2014-02286) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME89369) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-09-19 |