| NPI | 1336672070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A178228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A178228) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2023-10-24 |