| NPI | 1528265659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 233412) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 34086) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2024-12-17 |