| NPI | 1376988303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A154301) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD P30088) |
| 207R00000X Internal Medicine (Licence: MD P30088) | |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2022-06-10 |