| NPI | 1033196035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 36366) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 16212) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2022-03-12 |