| NPI | 1467439653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME158988) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 35956) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2024-06-10 |