| NPI | 1043535651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2015-00247) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NC 2015-00247) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2023-02-08 |