| NPI | 1184079089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S5661) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX S5661) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S5661) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2026-04-16 |