| NPI | 1447437686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A122092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P22031) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2021-11-09 |