| NPI | 1962571992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 56139) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 053601) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 053601) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 56139) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2024-08-22 |