| NPI | 1225250251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: LA MD.201129) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO TL1906) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: LA MD201129) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2010-06-10 |