| NPI | 1619953049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: DC MD037763) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0052281) |
| 207L00000X Anesthesiology (Licence: NC 000034305) | |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: FL ME101307) | |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TN 43087) | |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: PA MD044547E) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2019-03-29 |