| NPI | 1407351810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 73379) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 60477) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-08-25 |