| NPI | 1538622253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 67010) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R77244) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2023-06-16 |