| NPI | 1225290588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OR MD168481) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A105259) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A105259) | |
| 207L00000X Anesthesiology (Licence: OR MD168481) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2014-10-18 |