| NPI | 1124135280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN MD49136) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX L6425) |
| 207L00000X Anesthesiology (Licence: TN MD49136) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2022-03-16 |