| NPI | 1023321791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: DE C10010381) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD446858) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD446858) | |
| 207L00000X Anesthesiology (Licence: DE C10010381) | |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2014-04-14 |