| NPI | 1710010426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD438977) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI 13614) |
| 207L00000X Anesthesiology (Licence: PA MD438977) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2022-12-30 |