| NPI | 1316398738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 281274) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 268465) |
| 207R00000X Internal Medicine (Licence: MA 268465) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2024-01-16 |