| NPI | 1699158402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0062373) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ R75726) |
| 207R00000X Internal Medicine (Licence: GA 7647) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2019-06-17 |