| NPI | 1235159625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 9701259) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: NC 9701259) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NC 9701259) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-07-22 |