| NPI | 1497373518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 36390) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8879) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2024-07-16 |