| NPI | 1477546356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 35994) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: AZ 35994) |
| 207L00000X Anesthesiology (Licence: NM 94218) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2018-08-27 |