| NPI | 1447481189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 282123) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: ME MD29238) |
| 207L00000X Anesthesiology (Licence: NY 282123) | |
| 207L00000X Anesthesiology (Licence: ME MD29238) | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2025-04-03 |