| NPI | 1043659295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 57306) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2015026060) |
| 207L00000X Anesthesiology (Licence: GA 081028) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2019-03-27 |