| NPI | 1063487916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO CDR.0001412) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD16625) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2024-02-19 |