| NPI | 1275517476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 24729) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 22953) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2024-06-05 |