| NPI | 1235220500 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: DE C10005499)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C10005499)  | 
| Enumeration Date | 2006-09-28 | 
| Last Update Date | 2011-09-09 |