| NPI | 1508037623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S3652) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX S3652) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S3652) | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2022-04-04 |