Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
May 5, 2022
License(s)
2026-01590 (NC), W2033 (TX), BP10079471 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 5318 WESLAYAN ST # 141 | Houston, TX 77005-1048 | |
| LOCATION | 2080 DUKE UNIVERSITY RD | Durham, NC 27705-3191 | 919-681-6646 |
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