| NPI | 1437187978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 51980991205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD24970) |
| 207R00000X Internal Medicine (Licence: OR MD24970) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2021-11-02 |