| NPI | 1447633276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD23907) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264429) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2024-03-14 |