| NPI | 1437418324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q9372) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 02005166A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10046239) | |
| 183500000X Pharmacist (Licence: TX 46508) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2025-10-15 |