| NPI | 1487817326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA 40273) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125055022) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2018-07-22 |