| NPI | 1851036776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 77436) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2024041769) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2026-07-12 |