| NPI | 1134102908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 24118) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AZ 24118) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2020-10-08 |