| NPI | 1326036625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 24891) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD024891) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 24891) | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2025-04-02 |