| NPI | 1003878521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO 30758) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX U8638) |
| 207L00000X Anesthesiology (Licence: CO 30758) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX U8638) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2024-03-06 |