| NPI | 1548435084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0062915) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME101421) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2023-03-22 |