| NPI | 1346413036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P0303) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A112873) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A112873) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX P0303) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2025-01-29 |