| NPI | 1225047707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX L9702) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX L9702) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2026-01-28 |