| NPI | 1073135760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 011076) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO7287) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2024-12-27 |