| NPI | 1023004041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN D01392) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN DO1392) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2018-09-14 |