| NPI | 1518124106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 55782) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2010-01588) |
| 207L00000X Anesthesiology (Licence: MO 2008002534) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2008002534) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2022-03-23 |