| NPI | 1427210830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 58412) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2013-00859) |
| 207R00000X Internal Medicine (Licence: MD P22877) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2022-03-22 |