| NPI | 1285893032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 14339) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME152935) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2023-07-25 |