| NPI | 1437262169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME130390) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD049468L) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD049468L) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME130390) | |
| 208000000X Pediatrics (Licence: PA MD049468L) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD049468L) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2021-07-15 |