| NPI | 1497737845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN MD46869) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD46869) |
| 207L00000X Anesthesiology (Licence: MA 203997) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2022-03-31 |