| NPI | 1437397247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 51130) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2010017410) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2022-07-20 |