| NPI | 1588075667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX S2806) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX S2806) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2025-02-05 |