| NPI | 1558939496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 247004) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2023035619) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2026-07-08 |