| NPI | 1568516466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME132190) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0045080) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2023-01-24 |