| NPI | 1538218714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 51643) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN MD42770) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AZ 51643) | |
| 207L00000X Anesthesiology (Licence: TN MD42770) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2024-09-26 |