| NPI | 1285670968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME45465) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME45465) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2012-08-06 |