| NPI | 1386604049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A112190) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-44038) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A112190) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MD D0076331) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2023-02-11 |