| NPI | 1245349042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: UT 173715-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 173715-1205) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2024-12-12 |