| NPI | 1285160069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 20852) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 56962) |
| 207R00000X Internal Medicine (Licence: AZ R76284) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-09-10 |