| NPI | 1376833681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME130841) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME130841) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2022-07-21 |