| NPI | 1447292677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME160873) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101057742) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-10-04 |