| NPI | 1982841961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME 127942) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D69519) |
| 207L00000X Anesthesiology (Licence: ND 20931) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D69519) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME 127942) | |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2024-05-30 |