| NPI | 1083885255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX T1998) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX T1998) |
| 208000000X Pediatrics (Licence: TX T1998) | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2024-02-21 |