| NPI | 1477000313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: PR 22861) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PR 35188-R) |
| 207L00000X Anesthesiology (Licence: DC MD210002037) | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2023-08-29 |