| NPI | 1689753121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A67583) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A67583) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2024-04-08 |