| NPI | 1780083584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 67516) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D84813) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2023-07-19 |