| NPI | 1669813218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IA MD-45060) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-45060) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2024-07-03 |