| NPI | 1467949826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T6355) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX T6335) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2024-12-17 |