| NPI | 1710341888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101275295) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101275295) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101275295) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2026-02-27 |