| NPI | 1619063336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-16106) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2004014288) |
| 207L00000X Anesthesiology (Licence: TX Q9074) | |
| 207L00000X Anesthesiology (Licence: AR E-16106) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2004014288) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AR E-16106) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2004014288) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX Q9074) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-03-13 |