| NPI | 1639311657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN MD0000047734) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD0000047734) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2014-05-15 |