| NPI | 1942211131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME169603) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G97782) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2025-01-31 |