| NPI | 1386021434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 57847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 74906) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2022-12-25 |