| NPI | 1013273804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD161505) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD161505) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2023-04-17 |