| NPI | 1023098159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX K2831) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K2831) |
| 207P00000X Emergency Medicine (Licence: TX K2831) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2023-01-10 |