| NPI | 1023499381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 89767) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME145361) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2024-01-16 |