| NPI | 1831537737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 50513) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD0000053437) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2021-10-11 |