| NPI | 1710911466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A100076) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME129147) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-04-10 |