| NPI | 1487600714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 21173) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT MED-PHYS-LIC-127429) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2023-06-15 |