| NPI | 1427230580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX T5682) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 241588) |
| 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: TX T5682) | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2022-07-13 |