| NPI | 1235142886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 12764781-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35087684) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2022-07-21 |