| NPI | 1689644676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WV 22818) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 22818) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MN 53430) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WV 22818) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2022-01-25 |