| NPI | 1538319801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AZ 56633) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 56633) |
| 207L00000X Anesthesiology (Licence: MO 2011016905) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2011016905) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2023-01-18 |