| NPI | 1326541137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 22563) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO6252) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2022-10-07 |