| NPI | 1699822486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 42457) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 42457) |
| 208D00000X General Practice (Licence: TN 42457) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2022-03-16 |