| NPI | 1225129588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DE C10007851) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: DE C10007851) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-09-14 |