| NPI | 1750918785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME170484) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0102227) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2026-07-14 |