| NPI | 1538374566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 51019) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125051424) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2023-10-26 |