| NPI | 1497754303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME83974) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI MD05924) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2023-01-11 |