| NPI | 1669462214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 46027) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 155981) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2022-03-22 |