| NPI | 1528211927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0051539) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WI 55570-20) |
| 207L00000X Anesthesiology (Licence: IL 125-052532) | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2020-07-16 |