| NPI | 1265775696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R9777) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX 9777) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2021-07-30 |