| NPI | 1023676418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD214033) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04621) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2024-08-06 |