| NPI | 1467616714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CT 57288) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 57288) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 263348) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IN 01068923A) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2018-02-12 |