| NPI | 1699735597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX M2118) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M2118) |
| 208000000X Pediatrics (Licence: TX M2118) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2023-11-17 |