| NPI | 1255669628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P1916) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10030729) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P1916) | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2023-09-27 |