| NPI | 1922256023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME161821) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A94972) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2025-02-03 |