| NPI | 1457573206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN MD43565) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 27083) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-03-16 |