| NPI | 1154611101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: FL ME128862) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME128862) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2020-08-26 |