| NPI | 1164405031 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 24845) | 
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AZ 24845) | 
| Enumeration Date | 2005-11-23 | 
| Last Update Date | 2025-10-06 |