| NPI | 1942628557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0063394) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME135598) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2023-10-17 |