| NPI | 1558345744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 50060) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 35370) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2018-06-17 |