| NPI | 1700140829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0071366) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101019707) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IA DO-05024) | |
| 207L00000X Anesthesiology (Licence: IA DO-05024) | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2023-07-24 |