| NPI | 1528384211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0058028) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301104634) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2023-08-10 |