| NPI | 1831620491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 82380) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 28961) |
| 207R00000X Internal Medicine (Licence: MN 28386) | |
| 207L00000X Anesthesiology (Licence: MN 64291) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2024-01-22 |