| NPI | 1952440463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN MD40390) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 25056) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2010-01-14 |