| NPI | 1508966524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 5349) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ND 5349) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2019-04-19 |