| NPI | 1235244245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2018-00990) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MS 22277) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2024-09-23 |