| NPI | 1174529440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD433055) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD433055) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD433055) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2023-07-07 |