| NPI | 1366897662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 65047) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 36632) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2023-06-29 |