| NPI | 1871932954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 56023) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL36028) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2022-07-21 |