| NPI | 1164185641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA R-13003) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA R-12322) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2023-09-13 |