| NPI | 1730338211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 44978) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 243411) |
| 207L00000X Anesthesiology (Licence: TN MD44978) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2013-05-31 |