| NPI | 1487916730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OR DO182262) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2024-03252) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NC 2024-03252) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2024-11-07 |