| NPI | 1235157199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME 80600) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.096597) |
| 207L00000X Anesthesiology (Licence: FL ME 80600) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-08-31 |