| NPI | 1174979165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OR MD197073) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL TRN23033) |
| 207L00000X Anesthesiology (Licence: OR MD197073) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2022-07-21 |