| NPI | 1982995056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 320931) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 52606) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2019-10-09 |