| NPI | 1528402187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL TRN0025779) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME137030) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2020-10-15 |