| NPI | 1134649585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 65290) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: TN 65290) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2024-02-14 |