| NPI | 1326021627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD425218) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 042789) |
| 207L00000X Anesthesiology (Licence: PA MD425218) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2023-05-31 |