| NPI | 1801232129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T1445) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A147905) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A147905) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2023-03-07 |