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 |