| NPI | 1588844013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME113459) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0024030) |
| 207R00000X Internal Medicine (Licence: MD D0024030) | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2016-08-26 |