| NPI | 1508982356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 56445) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 230275) |
| 207L00000X Anesthesiology (Licence: AZ 42146) | |
| 207L00000X Anesthesiology (Licence: TN 56445) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 237061) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2022-03-17 |