| NPI | 1609034594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME 116657) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL MD37385) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2023-11-30 |