| NPI | 1033382858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AZ 41223) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 12111) |
| 207L00000X Anesthesiology (Licence: AZ 41223) | |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2024-01-04 |