| NPI | 1992863849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 62298) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 62298) |
| 207L00000X Anesthesiology (Licence: PA MD427886) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA a101069) | |
| 207P00000X Emergency Medicine (Licence: PA MD427886) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2022-03-31 |