| NPI | 1437353000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N5810) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: TX BP10026753) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-09-23 |