| NPI | 1891038717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0062360) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX U8472) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0062360) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX U8472) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2024-03-06 |