| NPI | 1629152780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P4577) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P4577) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P4577) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-09-27 |