| NPI | 1962865188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD23709) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 272526) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2023-06-30 |