| NPI | 1033155114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME96048) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N6480) |
| 207L00000X Anesthesiology (Licence: FL ME96048) | |
| 207L00000X Anesthesiology (Licence: TN 49762) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 49762) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2024-01-16 |