| NPI | 1184762304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0066678) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0066678) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2011-01-21 |