| NPI | 1558438085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME103697) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL TRN7911) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME103697) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME103697) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2025-01-06 |