| NPI | 1538136759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 29323) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 29323) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: HI MD-17172) | |
| 207L00000X Anesthesiology (Licence: WV 22843) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2021-02-25 |