NPI | 1255727970 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R5270) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX R5270) |
Enumeration Date | 2015-04-09 |
Last Update Date | 2025-07-11 |