| NPI | 1790766079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN D01446) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 84546) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2023-12-14 |