| NPI | 1689964637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 17406) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 261936) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2022-09-20 |