| NPI | 1407867948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX K8993) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD41398) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN MD41398) | |
| 207L00000X Anesthesiology (Licence: OH 35090118) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-03-07 |