| NPI | 1811459514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 1021323) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 1021323) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2025-04-30 |