| NPI | 1700291051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD479755) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2017033860) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2017033860) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2023-12-06 |