| NPI | 1750910154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 284769) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 284769) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-03-19 |