| NPI | 1447340914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: GA 92678) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: DC MD044600) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: DC MD044600) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-07-30 |