| NPI | 1629385208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P5684) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX P5684) |
| 207P00000X Emergency Medicine (Licence: TX P5684) | |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2023-10-04 |