NPI | 1689837759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N2115) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX N2115) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2025-03-24 |