Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | S0603 | TX |
NPI | 1003293788 |
---|---|
Provider Name | Binu Rajan Abraham |
First Address | Houston, TX 77063-2035 |
Second Address | Houston, TX 77008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2015 |
Last Update Date | 13/02/2020 |