| NPI | 1780134825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME151501) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME151501) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2024-06-10 |