| NPI | 1285699413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G48316) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G48316) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA G48316) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-09 |