| NPI | 1720186273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME174953) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 31388) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-07-31 |