NPI | 1295792190 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX F6641) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX F-6641) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX F6641) | |
Enumeration Date | 2006-04-26 |
Last Update Date | 2024-05-14 |