| NPI | 1285375949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D0048442) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D48442) |
| 207R00000X Internal Medicine (Licence: IN 11022174A) | |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2023-08-25 |