| NPI | 1285871731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NH 22651) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NC 2017-00242) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: VA 0101246137) | |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2022-08-02 |