| NPI | 1194721126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 56973) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX H9615) |
| 207L00000X Anesthesiology (Licence: FL ME105401) | |
| 207L00000X Anesthesiology (Licence: CO DR.0051200) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2022-03-30 |