| NPI | 1659532166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX R9540) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX R9540) |
| 207L00000X Anesthesiology (Licence: CA A111008) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A111008) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2025-04-16 |