| NPI | 1003443433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: MD D0103248) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD 5331) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-06-06 |