| NPI | 1750554663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0052227) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 251312) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 251312) | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2020-07-17 |