| NPI | 1932529971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T6256) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP20066728) |
| 207R00000X Internal Medicine (Licence: TX BP10050279) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2023-04-21 |