| NPI | 1609839554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 45638) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 45638) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2021-11-22 |