| NPI | 1598090409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P4873) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 61369) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX P4873) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CT 61369) | |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2019-07-02 |