| NPI | 1346334737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 37558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 37558) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-09-08 |