| NPI | 1366822207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME178316) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AL 41780) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME178316) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2026-02-25 |