| NPI | 1447379441 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME145007) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD427267) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2025-02-05 |