| NPI | 1265486336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 21770) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: SC 21770) |
| Enumeration Date | 2006-05-21 |
| Last Update Date | 2024-05-07 |