| NPI | 1437507688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A150684) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R75689) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2019-05-14 |