| NPI | 1487678744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N2666) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N2666) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-04-12 |