| NPI | 1245437227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 64639) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 257943) |
| 207L00000X Anesthesiology (Licence: TN 64639) | |
| 208000000X Pediatrics (Licence: NC 2007-01036) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2022-06-17 |