| NPI | 1922462910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 65607) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036156257) |
| 207L00000X Anesthesiology (Licence: IL 036156257) | |
| 207R00000X Internal Medicine (Licence: IL 036-156257) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2024-04-08 |