| NPI | 1730524034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0061366) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 17989) |
| 207L00000X Anesthesiology (Licence: CO DR.0061366) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2020-07-17 |