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 |