| NPI | 1477634558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: UT 13891662-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME EC-05-1025) |
| 207L00000X Anesthesiology (Licence: CO 46553) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-04-11 |