| NPI | 1639244148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 28935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC ll28935) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2024-04-30 |