| NPI | 1427211507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A101255) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A101255) |
| 208000000X Pediatrics (Licence: CA A101255) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A101255) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2017-02-21 |