| NPI | 1841782844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD H96090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT018619) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2023-04-26 |