| NPI | 1538365804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX U5864) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2010029431) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 50028) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2010029431) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2024-02-13 |