| NPI | 1427202431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 54425) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 105625) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 54425) | |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2020-08-04 |