| NPI | 1093446692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 293984) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 293984) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2023-06-07 |