| NPI | 1366584401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME114419) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A81529) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2017-11-03 |