| NPI | 1851431183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: TN 31220) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD0000031220) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2022-03-23 |