| NPI | 1669581658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: CO DR.0022673) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 22673) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-11-04 |