| NPI | 1285829085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 60503) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60069039) |
| 207L00000X Anesthesiology (Licence: UT 6020262-1205) | |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2024-03-14 |