| NPI | 1871972505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A149828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A149828) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2023-10-11 |