| NPI | 1154883551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AZ 011004) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A20700) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2024-09-11 |