| NPI | 1467711770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 54463) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY R2950) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2016-07-12 |