| NPI | 1376556746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E4599) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E4599) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2023-09-21 |