| NPI | 1407832041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 14865) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 22903) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2016-11-03 |