| NPI | 1740500610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2010017988) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010017988) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2019-03-19 |