| NPI | 1609968452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: DE C10005241) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C10005241) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: DE C10005241) | |
| 207L00000X Anesthesiology (Licence: NJ MA06427200) | |
| 207L00000X Anesthesiology (Licence: PA MD007844E) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NJ MA06427200) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD007844E) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ MA06427200) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD007844E) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-09-11 |