| NPI | 1467437590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 9300346) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 9300346) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 9300346) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2010-08-19 |