| NPI | 1427553700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 92957) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC pending) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-09-22 |