| NPI | 1699771550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 61946) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 27502) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2024-04-17 |