| NPI | 1427322684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY 04941) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV DO2197) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA 20A17546) | |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2023-07-03 |