| NPI | 1508158379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A134724) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A134724) |
| 207L00000X Anesthesiology (Licence: CA 134724) | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2017-01-09 |