| NPI | 1649533076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 286649) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 207RC0200X) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2023-07-21 |