| NPI | 1568435857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME80682) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: FL 80682) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2022-07-21 |