| NPI | 1457747818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 60768) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 35449) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2020-06-29 |