| NPI | 1710904479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0044535) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 44535) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-11-04 |