| NPI | 1942397062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD18162) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD39091) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2024-02-19 |