| NPI | 1386804110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 48444) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 23312) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2016-11-03 |