| NPI | 1457474892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TX N7271) |
| Additional Taxonomies | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: AK 7335) |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: VA 0101240998) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2022-07-21 |