| NPI | 1942458799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL MFC1878) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OK 30455) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 30455) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2023-04-25 |