| NPI | 1497079099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2023037647) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2023037647) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2024-04-25 |