| NPI | 1104875285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q0541) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD422553) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX Q0541) | |
| 207L00000X Anesthesiology (Licence: MD D0058740) | |
| 207L00000X Anesthesiology (Licence: MD D0057840) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2025-11-19 |