| NPI | 1538327911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2018-01696) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 45926) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2024-09-18 |