| NPI | 1699068049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD455466) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD455466) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2023-05-31 |