| NPI | 1427080548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME122394) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2006-00245) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-07-06 |