| NPI | 1205852571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 40681) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 92886) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-08-21 |