| NPI | 1457914236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AK 198263) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 62499) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2023-07-14 |