| NPI | 1801976972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 70808) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N0156) |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TX 76425) | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: TX N0156) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2024-06-17 |