| NPI | 1336766203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 8797-851) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND RL16615) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2021-06-18 |