| NPI | 1285617472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 18679) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: AZ 18679) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2019-03-13 |