| NPI | 1417333527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME167511) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 61734) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2024-08-22 |