| NPI | 1548236649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0039527) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 39527) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2024-06-12 |