| NPI | 1447245873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD25576) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 80153) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2022-09-01 |