| NPI | 1639497506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 52894) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-41837) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2015-07-09 |