| NPI | 1295835270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: HI MD-15147) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OR MD178551) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2021-05-26 |