| NPI | 1518213644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q9137) |
| Additional Taxonomies | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TX Q9137) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2024-01-10 |