| NPI | 1992932644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ND 16848) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 49220) |
| 207L00000X Anesthesiology (Licence: AL MD.30527) | |
| 207R00000X Internal Medicine (Licence: AZ R71408) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2020-12-02 |