| NPI | 1497149686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0089501) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME140158) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2021-07-07 |