| NPI | 1275915019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ R75549) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 7576) |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2023-05-03 |