| NPI | 1346564358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: LA MD.204659) |
| Additional Taxonomies | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: OK 31534) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2018-10-15 |