| NPI | 1427585371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0066738) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 000000000) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2023-03-14 |