| NPI | 1396190534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0064741) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA ML60670634) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2021-09-23 |