| NPI | 1437146834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME142265) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA07854200) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2025-02-08 |