NPI | 1467613471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX U4300) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX U4300) |
Enumeration Date | 2008-06-23 |
Last Update Date | 2025-08-26 |