| NPI | 1740203488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: VA 0101287063) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-14249) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX L1596) | |
| 207L00000X Anesthesiology (Licence: TX L1596) | |
| 207L00000X Anesthesiology (Licence: AR E-14249) | |
| 207L00000X Anesthesiology (Licence: VA 0101287063) | |
| 208000000X Pediatrics (Licence: TX L1596) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2025-10-09 |