| NPI | 1386806222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A118264) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 232334) |
| 207L00000X Anesthesiology (Licence: MA 246690) | |
| 207L00000X Anesthesiology (Licence: IA MD-51648) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IA MD-51648) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2023-09-22 |