| NPI | 1609860188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 38226) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 200401158) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2018-03-17 |