| NPI | 1346502606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX r7261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R7261) |
| 207R00000X Internal Medicine (Licence: AZ R73269) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2024-05-10 |