| NPI | 1669616405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME154154) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD433913) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2024-09-07 |