| NPI | 1306377338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MD D0092288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301500629) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2022-06-26 |