| NPI | 1356652002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C154784) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T5534) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T5534) | |
| 207L00000X Anesthesiology (Licence: MO 2013030075) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2013030075) | |
| 207P00000X Emergency Medicine (Licence: TX T5534) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2025-11-17 |