| NPI | 1841501517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 2016-01322) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN MD0000051532) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2017-05-17 |