| NPI | 1073739058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: OR MD27848) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD27848) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-04-23 |