| NPI | 1437266004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: PA MD423410) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD423410) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2023-01-06 |