| NPI | 1295918464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME100397) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD432980) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2008-10-10 |