| NPI | 1548593197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P8702) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2013012526) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX P8702) | |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2022-07-25 |