| NPI | 1689803421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME115482) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME115482) |
| 208000000X Pediatrics (Licence: FL ME115482) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2014-11-03 |