| NPI | 1457330664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 68320) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 39968) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2023-11-28 |