| NPI | 1154405264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD427498) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD427498) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-05-22 |