| NPI | 1750503595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 27072) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME101861) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-09-17 |