| NPI | 1194839613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA 062792L) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD062792L) |
| 208000000X Pediatrics (Licence: PA MD062792L) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD062792L) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2009-09-10 |