| NPI | 1659891703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 66002) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2017019574) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: MO 2017019574) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: TN 66002) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2022-07-17 |