| NPI | 1831546258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME172872) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD483227) |
| 207L00000X Anesthesiology (Licence: MA 282202) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2025-10-06 |