| NPI | 1801094156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2014-0189) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX Q1859) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 67247) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: SC 37527) | |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2024-09-26 |