| NPI | 1598856858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: DE C10006289) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C10006289) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: DE C10006289) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2018-06-15 |