| NPI | 1528178498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2021048633) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 44191) |
| 207L00000X Anesthesiology (Licence: MO 2021048633) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX 44191) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-01-06 |