| NPI | 1134566946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R4649) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207L00000X Anesthesiology (Licence: TX R4649) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX R4649) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2024-03-27 |