| NPI | 1992703136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 77215) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 37410) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2023-04-13 |