| NPI | 1558516146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 51194) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 236909) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2025-05-23 |