| NPI | 1528038940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 85299) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101238818) |
| 207L00000X Anesthesiology (Licence: FL ME 112285) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2024-07-18 |