| NPI | 1649597113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R2007) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX R2007) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101251104) | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2023-10-20 |