| NPI | 1366829186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A161236) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10054064) |
| 207L00000X Anesthesiology (Licence: CA A161236) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2024-04-09 |