| NPI | 1609828433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN MD0000027706) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD0000027706) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2009-09-17 |