| NPI | 1144411349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.127536) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01063238) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2021-10-15 |