| NPI | 1366762189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0067214) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME119265) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2023-09-04 |