| NPI | 1306467956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ND 21032) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10070671) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2024-09-18 |