| NPI | 1376760116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: VA 0101276397) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD435221) |
| 208000000X Pediatrics (Licence: RI LP00182) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2024-09-25 |