| NPI | 1346747128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 60690) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 87650) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2023-10-26 |