| NPI | 1295350965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 75583) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 75583) |
| 207L00000X Anesthesiology (Licence: NE 8765) | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2025-12-19 |