| NPI | 1427437508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME141509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT209020) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2023-07-19 |