| NPI | 1538116538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0045310) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX U8501) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX U8501) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0045310) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2024-09-12 |