NPI | 1073141040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 12439690-1205) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: UT 12439690-1205) |
Enumeration Date | 2020-03-27 |
Last Update Date | 2025-06-11 |