| NPI | 1174576581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101259392) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 212629) |
| 207L00000X Anesthesiology (Licence: VA 0101259392) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-06-14 |