| NPI | 1437899143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 76598) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 46800) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2026-05-18 |