| NPI | 1386008142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD206068) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX S6467) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 318243) | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2023-07-22 |