| NPI | 1386270395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OR MD226583) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD226583) |
| 207L00000X Anesthesiology (Licence: MA 1019194) | |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2025-11-12 |