| NPI | 1801821343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN MD48588) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 35641) |
| 207L00000X Anesthesiology (Licence: TN MD48588) | |
| 207L00000X Anesthesiology (Licence: WI 3042) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IA 35641) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-06-07 |