| NPI | 1508835406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX M7388) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IN 01059692A) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2021-03-26 |