| NPI | 1831683051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 68628) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301506939) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2023-08-09 |