| NPI | 1841459013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD170042) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A110413) |
| 207L00000X Anesthesiology (Licence: FL ME151331) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2021-06-16 |