| NPI | 1982621066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME62331) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 92701) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2024-08-16 |