| NPI | 1053522755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX T8469) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX T8469) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-11-10 |