| NPI | 1225179658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: TN 43847) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 43847) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2012-09-05 |