| NPI | 1295357093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MN 76335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN30604) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2024-06-25 |