| NPI | 1023054616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 26652) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 026652) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2009-10-20 |