NPI | 1962666180 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q3922) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 46701) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q3922) | |
Enumeration Date | 2008-07-16 |
Last Update Date | 2025-06-18 |