| NPI | 1578508362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX T8068) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D71866) |
| 207L00000X Anesthesiology (Licence: TX T8068) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A92457) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D71866) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2024-05-01 |