| NPI | 1245207497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN MD36912) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 82545) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2023-02-23 |