| NPI | 1265696116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: HI 16799) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 239734) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 246253) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2016-07-08 |