| NPI | 1932150620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OK 34826) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 34826) |
| 207L00000X Anesthesiology (Licence: TX J7190) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-04-15 |