| NPI | 1487821245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: UT 8557253-1205) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NC 2008-00809) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY 43142) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2013-06-17 |